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General NPI Number Information
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NPI Number | 1013398296
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Entity Type | Individual
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Provider Name | DR. IAN MURPHY
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Gender | Male
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Dates
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Enumeration Date | 06/14/2015
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Last Update Date | 06/14/2015
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Provider Practice Location Address
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Address Line | 737 N MICHIGAN AVE SUITE 1600, CARDIOVASCULAR IMAGING
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City | CHICAGO
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State | IL
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Zip | 60611-2615
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Country | US
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Telephone | 312-926-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 950 W BELLE PLAINE AVE APT 1E
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City | CHICAGO
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State | IL
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Zip | 60613-2488
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Country | US
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Telephone | 312-823-6642
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 125065949
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License Number State | IL
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